• Petitioned Kathleen Sebelius

This petition was delivered to:

Secretary of the US Department of Health and Human Service
Kathleen Sebelius
Wisconsin Governor
President of the United States
Wisconsin State Senate
Wisconsin State House
U.S. Senate
U.S. House of Representatives

Diabetes Healthcare

    1. Dan Kraft
    2. Petition by

      Dan Kraft

      Hartford, WI

  1.  
  2.   
February 2013

Victory

With a lengthy step-by-step process summary, Dan Kraft explains what to do.

Dear Medicare,

It is very easy for you to sit back in your office and say "NO" because you don't have to stay awake all night long checking your blood sugars every hour which have been extremely out of control over the past 8 years. I keep a very strict record of my blood sugar testing, 10-12 times a day; my numbers can range from the 20's to over 600 in a space of 2 hours. Every second of my life I need to make sure my blood sugars are not to high or to low and I am forced to stay awake all night long. What scare's us is what these high and low blood sugar levels are doing to my vision kidneys and heart.

Sincerely yours,

Jill Whitcomb

Did you know that diabetes is one of Americans' leading killers? The Mayo Clinic estimated 180,000 people die each year directly due to diabetes.  It’s the number one cause of kidney failure, non-traumatic lower limb amputations, and new cases of blindness among adults in the US. And the epidemic is growing quickly – if we don’t act soon, one in three Americans will have diabetes by 2050.

 Data from the 2011 National Diabetes Fact Sheet (released Jan. 26, 2011)

Total prevalence of diabetes

Total: 25.8 million children and adults in the United States—8.3% of the population—have diabetes.

Diagnosed: 18.8 million people

Undiagnosed: 7.0 million people

Prediabetes: 79 million people*

New Cases: 1.9 million new cases of diabetes are diagnosed in people aged 20 years and older in 2010.

* In contrast to the 2007 National Diabetes Fact Sheet, which used fasting glucose data to estimate undiagnosed diabetes and prediabetes, the 2011 National Diabetes Fact Sheet uses both fasting glucose and A1C levels to derive estimates for undiagnosed diabetes and prediabetes. These tests were chosen because they are most frequently used in clinical practice.
 

Under 20 years of age

•                215,000, or 0.26% of all people in this age group have diabetes

•                About 1 in every 400 children and adolescents has diabetes

Age 20 years or older

•                25.6 million, or 11.3% of all people in this age group have diabetes

Age 65 years or older

•                10.9 million, or 26.9% of all people in this age group have diabetes

Men

•                13.0 million, or 11.8% of all men aged 20 years or older have diabetes

Women

•                12.6 million, or 10.8% of all women aged 20 years or older have diabetes

Race and ethnic differences in prevalence of diagnosed diabetes

After adjusting for population age differences, 2007-2009 national survey data for people diagnosed with diabetes, aged 20 years or older include the following prevalence by race/ethnicity:

•                7.1% of non-Hispanic whites

•                8.4% of Asian Americans

•                12.6% of non-Hispanic blacks

•                11.8% of Hispanics

Among Hispanics rates were:

•                7.6% for Cubans

•                13.3% for Mexican Americans

•                13.8% for Puerto Ricans.

Morbidity and Mortality

•                In 2007, diabetes was listed as the underlying cause on 71,382 death certificates and was listed as a contributing factor on an additional 160,022 death certificates. This means that diabetes contributed to a total of 231,404 deaths.

Complications

Heart disease and stroke

•                In 2004, heart disease was noted on 68% of diabetes-related death certificates among people aged 65 years or older.

•                In 2004, stroke was noted on 16% of diabetes-related death certificates among people aged 65 years or older.

•                Adults with diabetes have heart disease death rates about 2 to 4 times higher than adults without diabetes.

•                The risk for stroke is 2 to 4 times higher among people with diabetes.

High blood pressure

•                In 2005-2008, of adults aged 20 years or older with self-reported diabetes, 67% had blood pressure greater than or equal to 140/90 mmHg or used prescription medications for hypertension.

Blindness

•                Diabetes is the leading cause of new cases of blindness among adults aged 20–74 years.

•                In 2005-2008, 4.2 million (28.5%) people with diabetes aged 40 years or older had diabetic retinopathy, and of these, almost 0.7 million (4.4% of those with diabetes) had advanced diabetic retinopathy that could lead to severe vision loss.

Kidney disease

•                Diabetes is the leading cause of kidney failure, accounting for 44% of new cases in 2008.

•                In 2008, 48,374 people with diabetes began treatment for end-stage kidney disease in the United States.

•                In 2008, a total of 202,290 people with end-stage kidney disease due to diabetes were living on chronic dialysis or with a kidney transplant in the United States.

Nervous system disease (Neuropathy)

•                About 60% to 70% of people with diabetes have mild to severe forms of nervous system damage.

Amputation

•                More than 60% of nontraumatic lower-limb amputations occur in people with diabetes.

•                In 2006, about 65,700 nontraumatic lower-limb amputations were performed in people with diabetes.

Cost of Diabetes

•                $174 billion: Total costs of diagnosed diabetes in the United States in 2007

•                $116 billion for direct medical costs

•                $58 billion for indirect costs (disability, work loss, premature mortality)

After adjusting for population age and sex differences, average medical expenditures among people with diagnosed diabetes were 2.3 times higher than what expenditures would be in the absence of diabetes.

The national cost of diabetes data and provides estimates at the state and congressional district level in the United States in 2007 to $218 billion.

•                $18 billion for people with undiagnosed diabetes

•                $25 billion for American adults with prediabetes

•                $623 million for gestational diabetes

 Don't like these numbers? We don't either. Want to Do Something About It? Sign the Petition!

 

 

 

 

Recent signatures

    News

    1. Medicare Provider Appealing The Judges Decision & Order

      Dan Kraft
      Petition Organizer

      1. United Healthcare denied Medicare policy coverage of a continuous glucose monitor (CGM) for Jill Whitcomb by using legal definitions that does not exist in Medicare law.

      2. No legal Medicare definition of “precautionary” exists. The term “precautionary” was just invented by United Healthcare to unlawfully deny Ms. Whitcomb coverage for a CGM.

      3. In order for a device to be defined as durable medical equipment by Medicare regulations, it must treat an illness. Hypoglycemia – unawareness is an illness as defined in Social Security Act §109.00 Endocrine Disorders in §416.926a and §416.926a(m)(5).

      4. Medicare’s National Coverage Determination Section 40.2 – CIM 60-11. “There are several types of glucose monitors”…”Medicare coverage with respect of the medical condition for whom the device is prescribed”. “Blood glucose monitors designed for home use covered as durable medical equipment”.

    2. From Dan Kraft:

      Olga Chernenko
      User Advocacy Data Specialist

      3. Your Argument In Section CIM 60-11 of Medicare National Determination Coverage States: "There are several types of glucose monitors for whom the devise is prescribed. Medicare coverage of these devices varies, with respect to both the device and the medical condition of the patient for whom the devise is prescribed” This Section Also States: “some types of glucose monitors which use a reflectance meter specifically designed for home use by diabetic patients may be covered as durable medical equipment, subject to the conditions below.”

    3. From Dan Kraft:

      Olga Chernenko
      User Advocacy Data Specialist

      To get Medicare to pay for a Continuous Glucose Meter (CGM) is a tedious process. There is a 99.9% chance you will be denied in the initial process of your Appeal until Step #4 when you ask for hearing by an Administrative Law Judge from Medicare Hearings and Appeals.
      1. To win your case you will need your diabetes Practitioner to send a “Certificate of Medical Necessity” to your Medicare insurance provider.
      2. Your diabetes Practitioner must be willing to testify in your behalf in a telephone hearing with an Administrative Law Judge of Medicare Hearings and Appeals. If your Practitioner won’t testify at the trial look for another Practitioner that will. The Practitioner testimony is crucial evidence to win your case.

    4. We NEED YOUR HELP! PLEASE Share This Petition With Your Friends

      Dan Kraft
      Petition Organizer

      We had a hearing with the office of Medicare Hearing & Appeals on October 15, 2012.
      My argument with the Medicare Provider was the defendant is “not an expert" to state the difference between glucose monitors. My argument was and is the continuous glucose meter is a glucose meter that just reads glucose levels continuously. In Section CIM 60-11 of Medicare National Determination Coverage states "There are several types of glucose monitors for whom the devise is prescribed". And the “Certificate of Medical Necessity” from Ms. Whitcomb’s practitioner states Ms. Whitcomb’s dire need for the continuous glucose meter is to prevent premature loss of life. The hearing was adjourned pending testimony from Ms. Whitcomb’s practitioner for her diabetes healthcare. PLEASE share and ASK your friends of friends to sign this petition. This petition isn’t just about Ms. Whitcomb, this is for everybody that has hypoglycemia unawareness and has been denied the continuous glucose meter.
      http://www.chang

    5. Progress is being made saving the taxpayers money on preventive healthcare

      Dan Kraft
      Petition Organizer

      Please keep helping with promoting our petition asking Medicare and insurance companies to help saving the taxpayers money on preventive healthcare for diabetics with hypoglycemia unawareness. Our cause will save peoples lives as well as lowering insurance premiums.

    6. UPDATE ON OUR PETITION on Diabetes Healthcare

      Dan Kraft
      Petition Organizer

      UPDATE ON OUR PETITION! We will finally have our day in court but we still need more signatures! PLEASE ASK your family and friends to share this link and sign the petition... Thanks!

    7. PLEASE HELP promote my petition I still haven't recached my goal!

      Dan Kraft
      Petition Organizer

      I am sorry to bother some of you but you'll understand because you're my family and friends! I Just like to give you an update on the petition! I still haven't recached my goal for the signatures required! Please help promote my petition! Thanks!

    8. Reached 50 signatures
    9. Please share this petition with your friends and family.

      Dan Kraft
      Petition Organizer

      The petition is for insurance for lawmakers in congress for 
medical supplies deemed "medically necessary" by doctors for Type-1 diabetics to prevent premature loss of life. Most insurance companies have to be threatened with a lawsuit before their insurance company will pay for these devices and it's a "death sentence" for those on Medicare.

    10. Reached 10 signatures
    11. Diabetes Healthcare Reform

      Dan Kraft
      Petition Organizer

      Medical supplies deemed “medically necessary” by doctors for Type-1 diabetics to prevent premature loss of life. This focuses on diabetics with hyper and/or hypoglycemia unawareness that need to be on an insulin pump and/or continuous glucose monitor. Most insurance companies have to be threatened with a lawsuit before their insurance company will pay for these devices and it’s a “death sentence” for those on Medicare. We are in dire need of volunteers to help promote our cause with insurance lawmakers in congress.

    12. Reached 5 signatures

    Supporters

    Reasons for signing

    • doree miles ALAMEDA, CA
      • almost 2 years ago

      I am a type 1 diabetic and know the benefits of cgm personally

      REPORT THIS COMMENT:
    • Stephanie Balkaran BRIARWOOD, NY
      • almost 2 years ago

      Diabetes is a nasty disease that runs in my family. I see my dad prick his fingers and it makes me want to cry. We need to find a cure for diabetes. Please help to make a worthy difference in someone's life.

      REPORT THIS COMMENT:
    • james virus BREWSTER, NY
      • almost 2 years ago

      type 1, 35 years

      REPORT THIS COMMENT:
    • Lola Emery EKALAKA, MT
      • almost 2 years ago

      I've been paying for the CGMS even though Medicare does not cover the cost. It has helped to lower my A1C when nothing else could do that so good. I feel more like normal now! I don't know how long we can afford to pay for it!

      REPORT THIS COMMENT:
    • Samuel Brussow Jr GRESHAM, WI
      • almost 2 years ago

      Because with out it she will surely die. duh.

      REPORT THIS COMMENT:

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